In consideration for the privilege of participating in athletic training and/or other fitness-related
activities (referred to as “Activities”) at Legacy Performance Academy, LLC, a Missouri limited liability
company (referred to as the “Academy”, which term shall also include said company’s agents,
representatives, indemnitees, members and employees), and other good and valuable consideration,
receipt of which is hereby acknowledged, the undersigned agrees as follows:

1. I (referred to as “Participant”, “I”, “me”, “myself ” or “mine”) represent, warrant, promise,
and agree to the following statements, terms and provisions, on behalf of myself and any minor for
whom I am responsible (Listed above on the Form):

2. I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY AND
ALL ACTIVITIES AT THE ACADEMY, including by way of example and not limitation, any risks
that may arise from negligence or carelessness on the part of the persons or entities being released, from
dangerous or defective equipment, property, and/or facilities owned, maintained, or controlled by the
Academy, for any reason or cause whatsoever.

3. I certify that I am physically and mentally fit and have sufficiently prepared for participation
in these Activities, and have not been advised to not participate by a qualified medical professional. I
certify that there are no health-related reasons or problems which preclude my participation in these
Activities. I further certify that I am responsible for knowing and understanding the risks inherent in the
Activities prior to participation in the Activities. I further certify that while participating in the Activities,
I am not nor will I be under the influence of alcohol or drugs which could affect my judgment and
abilities.

4. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the
Academy and organizers of the Activities in which I may participate, and that it will govern my actions,
omissions and responsibilities at these Activities.

5. In addition, on behalf of myself, my executors, administrators, heirs, next of kin, minors,
successors, and assigns, I hereby voluntarily state and agree as follows:

(A) I FULLY WAIVE, RELEASE, AND DISCHARGE THE ACADEMY
from any and all liability and/or claims, foreseen or unforeseen, including but not limited
to, liability arising from the negligence or fault of the entities or persons released, for my
death, disability, personal injury, property damage, property theft, or actions of any kind
related to the Activities;

(B) I AGREE TO INDEMNIFY, HOLD HARMLESS, AND PROMISE
NOT TO SUE the entities and persons set forth herein from any and all liabilities or
claims made as a result of participation in these Activities, whether caused by the
negligence of a releasee or otherwise.

6. I acknowledge that the Academy and its directors, members, officers, representatives,
employees and/or agents are NOT responsible for the errors, omissions, acts, or failures to act of any
person, party or entity conducting any specific activity or Activities on their behalf.

7. I acknowledge that these Activities may involve a test of a person’s physical and mental limits
and carry with them the potential for death, serious injury, and property loss. The risks include, but are
not limited to, those caused by the condition of equipment and facilities, condition and actions of
participants, and actions of other people including, but not limited to, other participants at the Academy,
and/or sponsors of the Activities.

8. I hereby consent to receive medical treatment which may be deemed advisable in the event of
injury, accident, and/or illness during these Activities.

9. I understand while participating in these Activities, I may be recorded, photographed or
videotaped. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by
the Academy and its assigns.

10. The Accident Waiver and Release of Liability Form shall be construed, under Missouri law,
and as broadly as possible to provide a release and waiver to the maximum extent permissible under
applicable law.

11. I understand that my participation in the Activities is in the form of a license to participate,
which license may be revoked, at the discretion of the Academy, for my safety and/or the safety or
others, or for any other reason.

I HAVE READ THE ABOVE WARNING, WAIVER, RELEASE, AND ASSUMPTION OF
RISK. I FULLY UNDERSTAND ITS CONTENTS, AND THAT I HAVE GIVEN UP
SUBSTANTIAL RIGHTS BY SIGNING IT. I HEARBY SIGN IT VOLUNTARILY
WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME
AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL
RELEASE OF ALL LIABILITY AND/OR CLAIMS.